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Journal of Gastrointestinal Surgery
Erschienen in: Journal of Gastrointestinal Surgery 1/2018

03.11.2017 | Review Article

Updates and Critical Insights on Glissonian Approach in Liver Surgery

verfasst von: Demetrios Moris, Amir A. Rahnemai-Azar, Diamantis I. Tsilimigras, Ioannis Ntanasis-Stathopoulos, Hugo P. Marques, Eleftherios Spartalis, Evangelos Felekouras, Timothy M. Pawlik

Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 1/2018

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Abstract

Recent advances in surgical techniques have broadened the indications of surgical management of liver malignancies. Intraoperative bleeding is one of the known predictors of postoperative outcomes following liver surgery, signifying the importance of vascular control during liver resection. Furthermore, preservation of future liver remnant plays a critical role in prevention of post-hepatectomy liver failure as one of the main causes of postoperative morbidity and mortality. Glissonian approach liver resection offers an effective method for vascular inflow control while protecting future liver remnant from ischemia-reperfusion injury. Several studies have demonstrated the feasibility of Glisson’s pedicle resection technique in modern liver surgery with an acceptable safety profile. Moreover, with increasing popularity of minimally invasive surgery, laparoscopic liver resection via Glissonian approach has been shown to be superior to standard laparoscopic hepatectomy. Herein, we systematically review the role of Glissonian approach hepatectomy in current practice of liver surgery, highlighting its advantages and disadvantaged over other methods of vascular control.
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Metadaten
Titel
Updates and Critical Insights on Glissonian Approach in Liver Surgery
verfasst von
Demetrios Moris
Amir A. Rahnemai-Azar
Diamantis I. Tsilimigras
Ioannis Ntanasis-Stathopoulos
Hugo P. Marques
Eleftherios Spartalis
Evangelos Felekouras
Timothy M. Pawlik
Publikationsdatum
03.11.2017
Verlag
Springer US
Erschienen in
Journal of Gastrointestinal Surgery / Ausgabe 1/2018
Print ISSN: 1091-255X
Elektronische ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-017-3613-9

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